Individual
MOLLY KRISTINE GRUENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MAXWELL ST, TRENTON, MI 48183-3414
(734) 837-6881
Mailing address
3101 MAXWELL ST, TRENTON, MI 48183-3414
(734) 837-6881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008518
MI
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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